I am under-going a total body transformation after massive weight loss with the leading plastic surgeon in this category, Dr. Joseph F. Capella. You may follow my experience and see my photos here.
Breast Lift (no implants), Extended Arm Lift, Medial Thigh Lift, Body Lift after Weight Loss - Dr. Joseph F. Capella, Ramsey, NJ
I am under-going a total body transformation after...
Some pix of the lift 1-mos post op
From D/DD to B
6-weeks post op w/36 C push up bra
Dr. Capella created perfectly round areolas and nice clean straight incision lines on my breasts. I have seen lots of plastic surgeons fail at this. So I really appreciate his attention to detail and expertise here. He also made my areolas smaller. I don't understand why more women don't reduce the size of their stretched out areolas.
An Inflated Vision of Beauty
Breasts on the massive weight loss patient
My breasts are oddly shaped. Dr. Capella said they are sort of tuberous. Massive weight and massive weight loss does a lot of damage to our bodies. It is quite sad. For example, the nipple should be 21cm from the sternum and mine is 25cm AFTER my lift. My surgeon said that 21cm is not realistic for a MWL breast (I am paraphrasing him). And they are not round like a normal breast. I read this is owing to the crease being semi linear, which is common in MWL women.
There are some expensive treatments that some surgeons use to correct the breast (e.g. Strattice). I spoke with Dr. Capella about this because I do not want a larger version of my oddly shaped breasts with the implants.
Right now I just feel so sad about all the damage I have done to my body by being morbidly obese for so long.
I have posted a pic of my breast lift. From the profile view they look quite nice but head-on when I am nude you would be able to see the shape of my breasts and understand what I mean about them not being round. I am sure that they do not look as bad as I make them out to be. Dr. Capella told me that he will be able to make some corrections when he does my implants so as to make my breasts round. I just want them to look really pretty when I am nude.
BTW I am now a C cup
My curves have returned
My breast lift profile pic
The small opening is where my body spit a stitch. It healed over rapidly.
Immediately after the lift I went to about a B cup. But over time I went to at least a C, maybe a D. Across the months I have been wondering if I want to go back to my Double D. Well, by the looks of things, I may now be a Double D at the base of my breasts. In this photo I am wearing one of my 38 DD Victoria Secret bras. The thing is, I do not fill the upper part of the bra like I did pre operatively. So I will need a small implant to create upper pole fullness.
36 D after breast lift, no implants
Full frontal nudity, almost...
Initially, I was disappointed because my breasts did not look the way that I expected as far as the location and size of the nipple areaola complex. I wish Dr. Capella had prepared me for what to expect as I would have expressed my desire for aesthetic outcome. Dr. Capella told me that the approach he uses preserves a lot of projection and that most women like it. I know that he really liked the way that my breasts came out, and took a lot of care in creating them, so I felt bad telling him of my disappointment. Dr. Capella, being the wonderful plastic surgeon that he is, immediately offered to modify the size and location of the areaola nipple complex once my tissues were healed. But he did caution me not to go too small with my areaola. He said that he made them as small as is natural for a woman. I never knew there were standards of measurement for the body.
I also had expected that Dr. Capella would change the shape of my breast with the lift and put them higher on my chest. As you can see in the photos they are a little tuberous rather than round, and sit rather low on my chest, compared to what is natural for a woman. Dr. Capella explained to me that he cannot move them higher on my chest, that they have to stay where the mammary fold is, and he said that he could change the shape of my breasts by opening up the pocket when he does the implant.
That all sounded like a good plan at the time. But now that my breasts have gotten bigger, the things that I want to achieve with the implant are upper pole fullness and roundness. But I do not want to go larger than I already am, which is a D cup. So when I ask Dr. Capella to move my nipples, I will ask his advice on this. My guess is that he can further reduce the breast size and then add the implant... but I do not know this for sure and I do not know if it would be done in one stage or two.
I am actually wondering if he revised the lift, if Dr. Capella could get my breasts high enough to create upper pole fullness without the implant. If so, I might choose to forgo the implant. Decisions, decisions... I will not have a clear direction until I speak with Dr. Capella.
Anyway, this is all fine tuning things, as in the end, my breast lift did turn out beautifully.
Consult with Dr. Capella on implants and breast lift
We are doing saline moderate profile round implants. I forget what cc Dr. Capella suggested but he said it would bring me to a D cup. He will open up the pocket to round out my breasts and lift my NAC further once the implants are placed. Surgery is scheduled for May 29th.
You may follow my breast augmentation journey here http://www.realself.com/review/ramsey-nj-stage-breast-augmentation-dr-joseph-capella-ramsey-nj-super-excited
My Bariatric Life 5-mos post mastopexy w/Dr. Joseph F. Capella - 36 DD w/o augmentation
Dr. Capella’s technique delivers wonderful results: He combined my breast lift with an arm lift and flankplasty (extended arm lift). I love how Dr. Capella explained everything to me during my markup; it was fascinating. He uses a tailor-tack approach to preserve projection, and the flankplasty is something I have seen many surgeons leave out and this results in an undesirable aesthetic outcome. By addressing this area, Dr. Capella eliminates what many ladies call bra blubber, the fat that bulges out around your bra under the arms and on the back. The result is a very youthful look. Dr. Capella took a lot of care with my breast lift, meticulously using calipers to pull the skin intra-operatively with me in the seated position so as to create the most beautiful breast. My areola are now perfectly round and the same size, as well as symmetrical. My nipples are perky and the lollipop incisions are very clean. I just see so many doctors butcher women in this regard, but Dr. Capella did a wonderful job. He does very beautiful breasts and I cannot wait for him to finish my transformation with the implants. I had the breast lift with several other procedures during a 6+ hour surgery for a total body transformation after massive weight loss. Before my gastric bypass surgery I was a size 24W. After weight loss, I was in a size 14 and had a lot of redundant skin and fat. After body contouring with Dr. Capella, I am a size 4! You may read the rest of my review and follow my journey here http://www.realself.com/review/ramsey-nj-medial-thigh-lift-lbl-arm-lift-flankplasty-breast-lift-monsplasty I also had facial rejuvenation with Dr. Catherine Winslow and you may read that review here http://www.realself.com/review/carmel-in-facelift-and-feel-15-years-younger-incredible-work-dr-catherine